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Organization
J. GARY GRANT, MD, INC.
Active
Organization
J. GARY GRANT, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GARY GRANT MD (PRESIDENT)
(831) 373-2322
Entity
Organization
Contact information
Practice address
830 BAYVIEW AVE, PACIFIC GROVE, CA 93950-2511
(831) 373-2322
Mailing address
830 BAYVIEW AVE, PACIFIC GROVE, CA 93950-2511
(831) 373-2322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G83783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G387830
—
CA
Enumeration date
08/22/2006
Last updated
10/25/2021
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